| NPI | 1801402557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: PA DN007506) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133V00000X Dietitian, Registered (Licence: PA DN00750) | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2021-09-01 |